دورية أكاديمية
Health economic changes as a result of implementation of targeted therapy for metastatic renal cell carcinoma:national results from DARENCA study 2
| العنوان: | Health economic changes as a result of implementation of targeted therapy for metastatic renal cell carcinoma:national results from DARENCA study 2 |
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| المؤلفون: | Soerensen, Anne V, Donskov, Frede, Kjellberg, Jakob, Ibsen, Rikke, Hermann, Gregers G, Jensen, Niels V, Fode, Kirsten, Geertsen, Poul F |
| المصدر: | Soerensen , A V , Donskov , F , Kjellberg , J , Ibsen , R , Hermann , G G , Jensen , N V , Fode , K & Geertsen , P F 2015 , ' Health economic changes as a result of implementation of targeted therapy for metastatic renal cell carcinoma : national results from DARENCA study 2 ' , European Urology , vol. 68 , no. 3 , pp. 516-522 . https://doi.org/10.1016/j.eururo.2014.12.017Test |
| سنة النشر: | 2015 |
| المجموعة: | University of Southern Denmark: Research Output / Syddansk Universitet |
| مصطلحات موضوعية: | Cost analysis, Economic analysis, Implementation, Metastatic renal cell carcinoma, National, Observational, Population-based, Targeted therapy |
| الوصف: | BACKGROUND: Limited data exist on the economic consequences of implementing targeted therapy (TT) for metastatic renal cell carcinoma (RCC) in a real-world setting. OBJECTIVE: To analyze health care and productivity costs for TT implementation in a national cohort of patients. DESIGN, SETTING, AND PARTICIPANTS: Costs were measured per patient per year during a 2-yr follow-up during 2002-2005 (immunotherapy only) and 2006-2009 (TT implementation). All Danish patients with a diagnosis code for RCC and a procedure code for TT or immunotherapy were linked to the Danish National Patient Registry (contains information on all contacts with primary and secondary health sector). Health care and productivity costs were retrieved from the Danish case-mix system and Coherent Social Statistics, respectively. Drug costs were calculated separately from procedure codes and retail prices. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Generalized linear models were used to analyze costs adjusted for age, gender, and civil status. RESULTS AND LIMITATIONS: A total of 439 patients were included for 2006-2009 and 192 for 2002-2005. Comparison of the health care cost per patient per year between 2006-2009 and 2002-2005 revealed lower inpatient costs (€11 899 vs €19 944, adjusted relative risk [RR] 0.64), higher outpatient costs (€14 308 vs €6209, RR 2.39), lower radiotherapy costs (€194 vs €633, RR 0.31), higher radiology costs (€676 vs €191, RR 3.73), and higher separately calculated drug costs (€12 040 vs €3103, RR 3.82, all p<0.001) for the former. Total health care costs per patient per year did not significantly differ (€27 676 vs €27 856, RR 1.05, p=0.5) between the two periods. Income from employment did not significantly differ between 2006-2009 and 2002-2005 (RR 1.11, p=0.11) and costs associated with loss of productivity were €7852 and €8265, respectively. CONCLUSIONS: A different pattern of health care costs were observed but total health care costs per patient per year did not significantly differ after implementation ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | https://portal.findresearcher.sdu.dk/da/publications/a4a0d8ab-6609-48fa-9c89-802235bd045dTest |
| DOI: | 10.1016/j.eururo.2014.12.017 |
| الإتاحة: | https://doi.org/10.1016/j.eururo.2014.12.017Test https://portal.findresearcher.sdu.dk/da/publications/a4a0d8ab-6609-48fa-9c89-802235bd045dTest https://findresearcher.sdu.dk/ws/files/121294368/Hepatic_encephalopathy_treatment_and_its_effect_on_driving_abilities.pdfTest |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.96AF67E5 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.eururo.2014.12.017 |
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